Organization
SOUTH LAKE MEDICINE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANXIAN HUANG M.D., PH.D. (OWNER)
(352) 242-2282
Entity
Organization
Contact information
Practice address
3190 CITRUS TOWER BLVD, CLERMONT, FL 34711-6802
(352) 242-2282
(352) 242-2886
Mailing address
3190 CITRUS TOWER BLVD, CLERMONT, FL 34711-6802
(352) 242-2282
(352) 242-2886
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME83976
FL
Other
Enumeration date
04/29/2008
Last updated
07/12/2010
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